Poisoning
Chapter 23. Emergency Conditions

Each year, millions of cases of accidental poisoning occur. Most of them are in children aged 1 to 6.

Most accidental poisonings occur in the kitchen between 4 p.m. and 6 p.m. The bathroom is the next most likely site.

Causes
Medicines such as aspirin, tranquilizers, sleeping pills
Household cleaners such as bleach, dishwasher detergent, and drain cleaners
Ammonia, lye
Insecticides and rat poison
Vitamins and minerals if taken in toxic amounts
Alcoholic and drugs
Rubbing alcohol, iodine, hair dye, mouthwash, and mothballs
Some indoor plants and outdoor plants and berries
Some outdoor plants and berries
Gasoline, antifreeze, oil, and other chemicals for the car
Lighter fluid and paint thinner
Carbon monoxide. This has no color, odor, or taste

Prevention
Wear protective clothing, masks, etc., when using chemicals that could cause harm if inhaled or absorbed by the skin.
Use volatile substances, such as gasoline and wood stain, only in areas that are well ventilated, such as outdoors
Store hazardous materials and medicines in their original containers.
Keep all harmful substances locked up and out of the reach of children. Teach them not to touch items with a skull-and-crossbones on it.
Store all medicines and vitamins in containers with child-restraint tops. Don't call medicines or vitamins "candy" in front of children. Vitamins with iron can be deadly to small children.
Flush unused medications down the toilet and rinse the containers before throwing them away.
Buy a bottle of syrup of ipecac and replace yearly. This is used to induce vomiting after certain poisons have been swallowed. Buy activated charcoal, too. This may be needed when certain chemicals are swallowed.
Install carbon monoxide detectors in your home and garage. Have your furnace, chimney, and flue checked by a qualified person every year. Don't run cars and lawn mowers in the garage. Don't use gas ranges for heat. Use portable heating devices, coal burning stoves, etc., as directed.  

Questions to Ask

Is the person not breathing and has no pulse?
{Note: Do CPR. (See CPR.)}
Is the person not breathing, but has a pulse?
{Note: Do rescue breathing. (See Airway and Breathing.)}
Is the person unconscious or having convulsions?
{Note: See Unconsciousness; First Aid for Seizures with Convulsions.}
Has any substance been swallowed, inhaled, or absorbed by the skin and do any of the following apply?
It has a "Harmful or fatal if swallowed" warning on the label
It has a skull-and-crossbones sign on the container
You suspect the substance is poisonous
{Note: Call the Poison Control Center first.}

Self-Care Tips

For Swallowed Poisons:
Call the Poison Control Center [1-800-POISON1 (764-7661]. Follow instructions. Be ready to give this information:
The name of the substance taken, the amount, and when it was taken
A list of ingredients on the product label
Age, gender, and weight of the person who took the poison; how the person is feeling and reacting; and any medical problems the person has
Lay the victim on his or her left side to keep the windpipe clear, especially if the victim has vomited.
Keep a sample of the vomit and the poison container.

For Inhaled Poisons:
Move the victim to fresh air (outdoors, if possible) right away. Try not to breathe the fumes yourself.
Follow the first 3 steps above for "Swallowed Poisons," as needed.
Get medical attention

For Chemical Poisons on the Skin:
Flood the skin with water for 10 to 15 or more minutes and remove contaminated clothing.
Gently wash the skin with soap and water. Rinse well.
Get medical attention.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 2000 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 03/02/01